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OIG Plans New Guidance for Medicare Advantage and Nursing Homes

In its General Compliance Program Guidance (GCPG) issued in November 2023, the Office of Inspector General of the U.S. Department of Health and Human Services (OIG) announced its intent to publish industry segment-specific...more

OIG’s New Compliance Guidance: 10 Action Items and Six Themes for Providers

On Nov. 6, 2023, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued the General Compliance Program Guidance (GCPG) for healthcare providers and other industry stakeholders. The GCPG...more

Dental Industry Leaders See Further Expansion of DSOs: HCFG Conference Recap

At McGuireWoods’ 16th annual Healthcare Finance & Growth (HCFG) Conference, a panel of dental industry leaders shared insights with attendees about the market. Panelists included Smiles Ahead COO Sean Barnard, SGA Dental...more

Private Equity in Healthcare – An Updated Review of Selected Niche Investment Areas

Since mid-2022, the macro acquisition environment has faced the challenges of inflation and increasing interest rates, among a variety of other headwinds. Global deal flow is down from its 2021 peak. Yet, as this white paper...more

Pushing Upmarket: Consolidation of DSOs and Secondary Private Equity Sales

The Likely Buyers - Dental support organizations (DSOs) have become an extremely popular investment vehicle in the past two decades. The DSO business model continues to thrive and grow, in large part because of the vital...more

Subsector Snapshots — Investor Interest in Dental Subsector Continues in 2022 and Likely Beyond

The dental subsector has continued to garner interest from healthcare investors over the past several years, largely because the subsector remains fragmented. This offers numerous opportunities for buyers, particularly...more

CMS Vaccine Mandate Enforcement Begins — Understanding the Three Deadlines

On Jan. 13, 2022, the U.S. Supreme Court permitted the Centers for Medicare & Medicaid Services (CMS) to enforce its interim final rule requiring many Medicare- and Medicaid-certified providers and suppliers to vaccinate...more

Supreme Court Upholds CMS Vaccine Mandate: Next Steps for Healthcare Providers

Update (Jan. 15, 2022): After the Jan. 14, 2022, publication of this alert, the Centers for Medicare & Medicaid Services issued updated guidance to State Survey Agency directors providing 30 days (by Feb. 13) for facilities...more

SmileDirectClub Not in Violation of NJ Corporate Practice of Dentistry Statute

On June 11, 2021, the Appellate Division of the Superior Court of New Jersey affirmed a lower court decision favoring SmileDirectClub (SDC) in a case involving the New Jersey corporate practice of dentistry (CPOD) statute....more

Update: House Passes, President to Sign American Rescue Plan With Senate Healthcare Provisions

On March 10, 2021, the U.S. House of Representatives narrowly passed H.R. 1319, the American Rescue Plan Act of 2021, on a largely partisan basis by a 220-211 vote. Final passage came four days after the U.S. Senate amended...more

U.S. Senate Passes American Rescue Plan – 10 Key Updates for Healthcare Providers

On March 6, 2021, the U.S. Senate narrowly passed H.R. 1319, the American Rescue Plan Act of 2021, by a 50-49 vote, along entirely partisan lines. Sen. Dan Sullivan (R-AK) missed the vote after joining with all Republicans on...more

U.S. House Passes American Rescue Plan – 15 Provisions for Healthcare Providers

In the early morning of Feb. 27, 2021, the U.S. House of Representatives narrowly passed H.R. 1319, the American Rescue Plan Act of 2021, by a 219-212 vote. Two Democrats joined with a united Republican caucus to oppose the...more

Omnibus Appropriations Package – 15 Key Provisions for Healthcare Providers

Passed by Congress Dec. 21, 2020, and signed by President Donald Trump Dec. 27, 2020, the $1.4 trillion omnibus Consolidated Appropriations Act, 2021 (H.R. 133), includes numerous statutory provisions that directly affect...more

Fraud and Abuse Rules Part I: Changes to Patient Inducement and Kickback Policies

As discussed in a previous McGuireWoods alert, the U.S. Department of Health and Human Services (HHS) published final rules expected to be effective Jan. 19, 2021, that significantly amend the Physician Self-Referral Law...more

CDC Guidance for Dental Settings During COVID-19: Five Key Points

On Aug. 28, 2020, the Centers for Disease Control and Prevention (CDC) updated its guidance on specific infection control considerations for dental offices during the COVID-19 pandemic....more

Provider Relief Fund: Medicaid/CHIP and Dental Deadline Extended, More Funds for Hard-Hit Hospitals

On July 17, 2020, the U.S. Department of Health & Human Services (HHS) announced in a press release that providers participating in state Medicaid programs, the Children’s Health Insurance Program (CHIP) and/or...more

Provider Relief Funds: New Dental Distribution and More for Safety-Net and Rural Hospitals

On July 10, 2020, the U.S. Department of Health and Human Services (HHS) announced it will allow dentists and other dental providers to apply for relief from the Public Health and Social Services Emergency Fund (Provider...more

CMS Recommendations for Non-Emergent Healthcare Reopening: Eight Key Points

The Centers for Medicare & Medicaid Services (CMS) recently released Phase II recommendations to guide healthcare facilities as they reopen to provide non-emergent procedures unrelated to the 2019 novel coronavirus...more

CMS Continues to Increase Flexibility in Quality Reporting Requirements

This alert is part of a series discussing the comprehensive actions taken by the Centers for Medicare & Medicaid Services in response to the COVID-19 pandemic that are most important to healthcare providers....more

“Hospitals Without Walls” and Other Flexibilities for Hospitals During COVID-19

On March 31, 2020, the Centers for Medicare & Medicaid Services (CMS) issued an interim final rule with comment period (IFC). This alert is part of a series of alerts discussing the IFC provisions and comprehensive actions...more

CMS Relaxes Guidance to Postpone Non-Essential Procedures: Six Key Points

The Centers for Medicare & Medicaid Services (CMS) recently released its first phase of recommendations regarding reopening medical facilities for the provision of non-emergent procedures unrelated to the 2019 novel...more

CMS Waives Certain Requirements to Expand Healthcare Workforce, Put Patients Over Paperwork

As part of its continued efforts to ease burdens on healthcare providers during the 2019 novel coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) released a slew of additional waivers on March...more

CMS Updates Healthcare Quality Reporting Exceptions in Response to COVID-19 Crisis

As discussed in a previous alert from March 24, 2020, due to the 2019 novel coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) announced it would temporarily ease quality reporting...more

CMS Eases Quality Reporting Requirements Amid COVID-19 Crisis

Due to the novel coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) announced it would temporarily ease quality reporting requirements for clinicians, providers and healthcare facilities...more

Key Concerns for Nursing Homes Amid the COVID-19 Pandemic

In an effort to keep nursing home residents and staff safe in the midst of the novel coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC)...more

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